Diagnostic methods using tenascin-w compositions

ABSTRACT

Tenascin-W. an extracellular matrix molecule that is specifically expressed in metastatic tumours is provided. A system comprising a sample expressing tenascin-W is used as an in vitro method for screening possible anti-tumour agents or for agents that promote osteogenesis.

The present invention relates to polypeptides specifically expressed in tumours, to active agents having anti-tumour and/or anti-tumourigenic activity and to agents effective in improving conditions dependent on stem cell differentiation, in particular osteoblast formation, such as in osteogenesis, to pharmaceutical compositions of these agents and to the pharmaceutical uses of such agents and compositions. The invention also relates to in vitro methods of screening agents for anti-tumour and/or anti-tumourigenic activity as well as for agents effective in promoting stem cell differentiation.

The adherence of cells to each other and to the extracellular matrix (ECM) as well as the cellular signals transduced as a consequence of such binding are of fundamental importance to the development and maintenance of body form and function. The ECM has an important regulatory function in tissue homeostasis and, together with oncogenes and tumour suppressor genes is critically involved in tumourigenesis (reviewed in Boudreau, N. & Bissell, M. J. (1998) Curr Opin Cell Biol 10: 640-646 and Kuoslahli, E. (1999) Adv Cancer Res 76:1-20).

In the more affluent countries of the world cancer is the cause of death of roughly one person in live with the five most common cancers being those of the lung, stomach, breast, colon/rectum and the uterine cervix. Tumors of this type often metastasize through lymphatic and vascular channels. Cancer is not fatal in every case and only about half the number of people who develop cancer die of it. The problem facing cancer patients and their physicians is that seeking to cure cancer is like trying to get rid of weeds.

One way to treat cancer effectively is to get an early diagnosis. Most cancers are not extensively vascularized (and therefore not invasive) during the early stages of development. The transition to a highly vascularized, invasive and ultimately metastatic cancer which spreads throughout the body commonly takes ten years or longer. If the cancer is detected prior to invasion, surgical removal of the cancerous tissue is an effective cure. However, cancer is often detected only upon manifestation of clinical symptoms. Generally, such symptoms arc present only when the disease is well established, often after metastasis has occurred, and the prognosis for the patient is poor, even after surgical resection of the cancerous tissue. Early detection of cancer therefore is important in that detection may significantly reduce morbidity. A reliable, non-invasive, and accurate technique or diagnosing cancer at an early stage would help save many lives.

Cancer cells can be removed surgically or destroyed with toxic compounds or with radiation but it is very hard to eliminate all of the cancerous cells. A general goal is therefore to find better ways or selectively killing cancer cells whilst leaving normal cells of the body unaffected. Part of that effort involves identifying new anti-cancer agents.

Apart from tumorgenesis, the ECM has an important regulatory function in tissue homeostasis and in the development and maintenance of body form and function, e.g. in the development or remodeling of skeleton or in bone morphogenesis. Bone marrow has stem cells with osteogenic potential and is made up of determined osteogenic precursor cells that are committed to osteogenesis and of inducible osteogenic precursor cells. Determined osteogenic precursor cells can differentiate into bone without an exogenous signal. Inducible osteogenic precursor cells require a molecular signal for initiating the differentiation program, e.g. induction by binding to extracellular matrix.

A number of molecules mediating cell adhesion have been identified and characterized at the molecular level both in vertebrates and invertebrates. Tenains are a family of large multimeric extracellular matrix proteins, each having homologous subunits built from variable numbers of repeated domains. These include heptad repeats, epidermal growth factor (EGF)-like repeats, fibronectin type III domains and a C-terminal globular domain which is also found in fibrinogens. Tenascin-C was the first member of the family to be discovered, in one instance as a muyotendious antigen (Chiquet, M. & Fambrough, D M. (1984) J Cell Biol 98(6):1997-1946) and in another, as a protein enriched in the stroman of gliomas (Bourdon, M A. et al (1983) Cancer Res 43(6):2796-2805, reflecting the major sites of tenascin-C expression, namely in tendons and ligaments and the extra-cellular matrix of tumor stroma. A further instance of the discovery of tenascin-C (also termed hexabrachion) reflects its interaction with fibronectin (Erickson, H P. et al. (1984) Nature 311(5983):267-9). Enforced interaction of tumour cells with fibronectin can block proliferation in cell culture and can decrease tumour growth in nude mice (Arkamatsu H. et al (1996) Cancer Res 56: 4541-4546 and Giancotti, F. G & Ruoslahti, E. (1990) Cell 60: 849-859). Tenascin-C was shown to disrupt the interaction of cells with fibronectin and in this manner may enhance tumour cell proliferation. Chiquet-Ehrismann, R. et a. (1988) Cell 53: 383-390 were the first to show that tenascin-C binds to fibronection, blocks cell attachment to fibronectin and increases proliferation of rat breast adenocarcinoma cells (Chiquet-Ehrismann, R. et al (1986) Cell 47: 131-139).

Tenascin-C is present in a large number of developing tissues including the nervous system. Although abundant in mature ligaments and tendons, it is absent from skeletal and heart muscle, unless the muscle has been injured. Tenascin-C expression is elevated in essentially all carcinomas as well as in many other types of tumors (for review see Chiquet-Ehrismann, R. (1993) Semin Cancer Biol 4(5):301-10). Furthmore, tenascin-C is upregulated in would healing (Latijnhouwers, M A. et al (1996) J Patol 178(1):30-5), during skeletogenesis (Koyama, E. et al (1996) J Orthop Res. 14(3):403412 and Hall, B K. & Miyake, T. (1995) Int J Dev Biol. 39(6):881-893) as well as in many diseases involving infections and inflammation (Schenk, S. et al. (1995) Int J Cancer 61(4):443-9).

Each tenascin family member exhibits a specific gene expression pattern during embryogenesis and in the adult (for review see Chiquet-Ehrismann, R. (1995) Experientia 51(9-10):853-62) suggesting specific roles for each member. Tenascin-R is an extracellular matrix component of the nervous system found mainly in brain tissue (Pasheva, P. et al. (2001) Prog Brain Res. 132:103-14. Review), whereas tenascin-X is prominently expressed in muscle and skin connective tissue. In one patient, tenascin-X deficiency has been reported to result in an Ehler'3 s Danlos phenotype (Burch, G H. et al. (1997) Nat Genet 17(1):104-8).

To date there is only one report on tenascin-W available in the literature. (Weber, P. et al. (1998) J Neurobiol 35(1):1-16). In this study, a cDNA encoding tenascin-W was isolated from a 20-28 h postfertilization zebralish cDNA library on the basis of the conserved epidermal growth factor-like domains found in all tenascin molecules. The expression pattern of tenascin-W transcripts was studied in the developing zebralish by in situ hybridisation. It was found to be present in neural crest and selerotome cells and the developing skeleton. Genebank sequence AJ001423 provides a zebralish tenascin-W, and AL049689 provides a “novel human mRNA from chromosome 1, similar to Tenascin-R”, whose function is not known.

The present invention provides a composition comprising an isolated nucleic acid molecule having a nucleotide sequence selected from the group consisting of:

-   -   (a) a nucleotide sequence as set forth in SEQ ID NO: 1;     -   (b) a nucleotide sequence encoding the amino acid sequence shown         in SEQ ID NO: 2;     -   (c) a nucleotide sequence with at least 85% identity to the         sequence of (a) or (b);     -   (d) a subsequence of more than 50 consecutive nucleotides of a         sequence of (a), (b) or (c); and     -   (e) a nucleotide sequence complementary to any of the nucleotide         sequences or subsequence in (a), (b), (c) or (d).

In one aspect of the invention, the isolated nucleic acid molecule having a nucleotide sequence preferably (a); preferably encoding a variant of the amino acid sequence shown in SEQ ID NO: 2, such as a variant comprising an amino acid deletion, addition (e.g. fusion proteins) or substitution of the amino acid sequence shown in SEQ ID NO:2. Preferably, the variant comprises a conservative substitution of at least one amino acid in said amino acid sequence in SEQ ID: NO: 2, more preferably the variant has stem cell differentiation inducing activity, in particular an activity that induces osteoblast development from stem cells. Most preferred is when the isolated nucleic acid molecule encodes a protein with the amino acid sequence shown in SEQ ID NO: 2.

The nucleic acid molecule can be an antisense molecule, in which case it might be desirable to have nucleotide residues that are resistant to nuclease degradation substituting some or all of the ribo- or deoxyribonucleolidcs.

Also provided are nucleic acid vectors comprising the nucleic acid molecules of the invention, as well as host cells comprising the vectors or nucleic acids, and transgenic, knockout or genetically modified animals (other than humans, in particular mice), comprising manipulated nucleic acids of the invention or absent the endogenous sequence.

The invention also provides a composition comprising an isolated polypeptide having an amino acid sequence selected from the group consisting of:

-   -   (a) an amino acid sequence as set forth in SEQ ID No. 2; and     -   (b) an amino acid sequence with at least 85% identity to the         sequence of (a); and     -   (c) a subsequence of at least 30 consecutive amino acids of the         sequence of (a) or (b), with the proviso that said subsequence         does not fall within amino acid nos. 1102 and 1152 of SEQ ID         NO:2.

Preferably, the amino acid sequence in (b) comprises a conservative substitution of at least one amino acid of the amino acid sequence of SEQ ID: NO: 2. More preferably, the polypeptide or fragment has stem cell differentiation inducing activity, as described above. Useful fragments may exhibit an epitope recognized by polyclonal antibodies raised against the polypeptide having the amino acid sequence shown in SEQ ID NO: 2, for example. A particularly preferred polypeptide is that encoded by the amino acid sequence shown in SEQ ID NO: 2.

Also provided are antibodies that are specifically reactive against the polypeptides of the invention.

In another aspect of the invention, a composition comprising an isolated nucleic acid molecule having a nucleotide sequence selected from the group consisting of:

-   -   (a) a nucleotide sequence as set forth in SEQ ID No. 1 or SEQ ID         No. 3;     -   (b) a nucleotide sequence encoding the amino acid sequence shown         in SEQ ID NO: 2 or SEQ ID NO: 4;     -   (c) a nucleotide sequence with at least 35% identity to any one         of the sequences of (a) or (b), preferably (a);     -   (d) a subsequence of a least 15 consecutive nucleotides of the         sequence of (a), (b) or (c); and,     -   (e) a nucleotide sequence complementary to (a), (b), (c), or         (d), and a pharmaceutically acceptable excipient, diluent or         carrier.

In one embodiment, the nucleic acid molecule preferably encodes a protein having stem cell differentiation inducing activity. In another embodiment, the nucleic acid molecule has a subsequence that is antisense to SEQ ID NO:1 or SEQ ID NO:3, wherein the nucleic acid molecule may comprise nucleotide residues that are resistant to nuclease degradation. In another embodiment, the isolated nucleic acid molecule encodes the amino acid sequence shown in SEQ ID NO: 2 or SEQ ID NO:4. In yet another embodiment, the nucleic acid molecule has a subsequence selected from the group consisting of nucleotides 2380-3171 of SEQ ID No:1, nucleotides 2371-3162, of SEQ ID No:3, a complement of nucleotides 2380-3171 of SEQ ID No:1, and a complement of nucleotides 2371-3162 of SEQ ID No:3, or an RNA equivalent thereof.

Thus, also provided are nucleic acid compositions as described above for use as a pharmaceutical, as well as the use of such compositions for the manufacture of a medicament for the prophylaxis or treatment of cancer or bone pathologies.

Also provided are compositions comprising tenascin-W, preferably recombinant tenascin-W, and a pharmaceutically acceptable excipient, diluent or carrier. In preferred embodiments, the tenascin-W is a polypeptide having an amino acid sequence selected from the group consisting of:

-   -   (a) an amino acid sequence asset forth in SEQ ID No. 2 or 4;     -   (b) an amino acid sequence with at least 35% identity to the         sequence of (a); and     -   (c) a subsequence of at least 30 consecutive amino acids of the         sequence of (a) or (b).

Preferably, the polypeptide has stem cell differentiation inducing activity as described above. More preferably, the polypeptide is encoded by the amino and sequence shown in SEQ ID NO: 4.

Thus, also provided is the use of tenascin-W for treatment or prophylactic treatment of any disease or condition requiring increased tenascin-W levels, e.g. thrombosis, wound healing or atherosclerosis, as well as a condition ameliorated by the promotion of osteogenesis, e.g. bone healing, osteoporosis, as well as the use of tenascin-W as a stem cell marker.

Also provided arc antibodies that specifically recognizes tenascin W for use as a pharmaceutical, as well as for the manufacture of a medicament, for the prophylaxis or treatment of cancer (e.g., glioblastoma, prostate, lung, colorectal, osteo- or breast carcinoma), including metastatic cancer, or for the prophylaxis or treatment of any disease or condition involving tenascin-W, e.g. excessive bone growth.

The present invention also provides methods tor identifying agents for the prevention or the prophylactic treatment of tumourigenesis or the treatment or prophylactic treatment of tumours or cancer, or the treatment or prophylactic treatment of any disease or condition involving tenascin-W, e.g. a condition ameliorated by the promotion or inhibition of osteogenesis, comprising contacting a test compound with a tenascin-W expressing cell sample and then measuring a change in one or more of:

-   -   (a) cell proliferation, e.g. cell progression entering S-phase         of the cell cycle;     -   (b) DNA synthesis;     -   (c) cell adhesion;     -   (d) cell spreading;     -   (e) focal adhesion and actin stress fibre formation on         fibronectin; and     -   (f) cell binding to extracellular matrix (ECM)

relative to when said test compound is absent.

Optionally, the method further comprises measuring a change in tenascin-W expression relative to when the test compound is absent. The tenascin-W may have any one-or more of the features described above. A particularly preferred assays is carried out in the form of an enzyme linked immunosorbent assay (ELISA).

Also provided is a method for identifying modulators of tenascin W function, comprising:

-   -   (a) contacting a test compound with tenascin W and/or alpha8         beta1 integrin, and     -   (b) measuring the binding of the test compound to tenascin-W         and/or alpha8 beta1 integrin, or     -   (c) measuring a disruption of binding of tenascin-W to alpha8         beta1 integrin,     -   relative to when the test compound is absent.

Optionally the method further comprises measuring the binding of a control compound to tenascin-W. In one embodiment, the tenascin-W is attached to a solid surface, for example using an antibody reactive against tenascin-W. The binding can be conveniently detected using an antibody labelled with a fluorescent label, a fluorescence quencher, a radioactive label, a scintilant or an enzyme. Alternatively, the binding is detected by measuring the adhesion of alpha8 beta1 to the immobilized tenascin-W (as described in example 8) or vice versa. A decrease in binding of tenascin-W to alpha8 beta1 integrin is indicative of an inhibitor of the tenascin-W to alpha8 beta1 integrin is indicative of an inhibitor of the tenascin-W to alpha8 beta1 integrin interaction (and therefore an inhibitor of tenascin W function). An increase in binding of tenascin-W to alpha8 beta1 integrin in the presence of a test compound is indicative of a potential agent that activates alpha8 beta1 integrin, thereby acting as an agonist of tenascin-W function.

Thus also provided, are agents for the prevention or the prophylactic treatment of tumourigenesis or the diagnosis or the treatment or prophylatic treatment of tumours, or the treatment or prophylactic treatment of any disease or condition involving tenascin-W, e.g. a condition amelorated by the promotion of osteogensis, identified by a screening method of the invention.

Also provided are methods of diagnosing or prognosing cancer comprising:

-   -   (a) analysing a sample obtained from an individual for the         presence of tenascin-W; and     -   (b) correlating the presence of tenascin-W with an unfavourable         prognosis or diagnosis.

Optionally, the method may further comprise correlating in an increase in (elevated level of) tenascin-W in the sample relative to healthy tissue with an unfavourable prognosis or diagnosis. Tenascin-W can be conveniently detected using an antibody specific for tenascin-W or alternatively tenascin-w can be detected at the transcript level using techniques well known in the art, such as a polymerase chain reaction (e.g., RT-PCR). The method may also include the additional use of controls.

The sample can be blood serum from an individual, for example. The method may also further comprise propagating cells in a sample in cell culture. In one embodiment, the method further comprises analysing the sample for the presence of alpha 8 integrin, the presence of alpha 8 integrin correlating with an unfavourable prognosis or diagnosis.

The present inventors have investigated extractular matrix molecules, their expression during development, cell adhesion and proliferation of tumour cells and have characterized a novel member of the mammalian tenascin family. Prior to the present invention, no tenascin-W had been identified from a mammalian source and its function was not previously known. The present inventors have identified and characterized the complete cDNA sequence encoding the mouse and human tenascin-W. Anti-sera were prepared against a fragment of tenascin-W, which detect tenascin W in tumour stroma, in the periosteum and in liver tissue, and cross react with tenascin W from several mammalian species. In particular, the inventors have discovered that tenascin-W is specifically expressed in metastatic tumour cells as well as in the periosteum, the stem cell compartment for osteogenesis.

Thus in one aspect, the present invention provides a composition comprising an Isolated nucleic acid molecule having a nucleotide sequence selected from the group consisting of:

-   -   (a) a nucleotide sequence as set forth in SEQ ID NO: 1;     -   (b) a nucleotide sequence encoding the amino acid sequence shown         in SEQ ID NO: 2;     -   (c) a nucleotide sequence with al least 85% identity to the         sequence of (a) or (b);     -   (d) a subsequence of more than 50, 75, 100, 200 or more         consecutive nucleotides of a sequence of (a), (b) or (c); and     -   (e) a nucleotide sequence complementary to any of the nucleotide         sequences or subsequence in (a), (b), (c) or (d).

The compositions include various types of nucleic acid, including genomic DNA, cDNA and mRNA, for example. In one aspect of the invention, the isolated nucleic acid molecule having a nucleotide sequence preferably exhibits at least 85%, identity, more preferably 90% identity, most preferably 95, 98 or 100% identity to the sequence of (a) (SEQ ID NO:1). Also encompassed are nucleic acids that encode polypeptides having the amino acid sequence shown in SEQ ID NO: 2, or variants thereof such as a variant comprising an amino acid deletion, addition (e.g. fusion proteins) or substitution relative to the amino acid sequence shown in SEQ ID NO:2. The various nucleic acids that can encode these polypeptides therefore may differ because of the degeneracy of the genetic code, in that most amino acids are encoded by more than one triplet codon. The identity of such codons is well known in this art, and this information can be used for the cons ruction of the nucleic acids within the scope of the invention. Variants differ from wild-type protein in having one or more amino acid substitutions that either enhance, add, or diminish a biological activity of the wild-type protein. Once the amino acid change is selected, a nucleic acid encoding that variant is constructed according to methods well known in the art.

Preferably, the variant comprises a conservative substitution of at least one amino acid in said amino acid sequence in SEQ ID: NO: 2. The variant will typically exhibit a biological function of the polypeptide as set forth in SEQ ID NO:2, that is, stem cell differentiation inducing activity, in particular an activity that induces osteoblast development from stem cells, or binding to an antibody that specifically recognizes Tenascin-W. To maintain biological activity, only conservative substitutions are therefore preferred as is well known in the art. Most preferred is when the isolated nucleic acid molecule encodes a protein with the amino acid sequence shown in SEQ ID NO: 2.

The nucleic acid molecule can be an antisense molecule, in which case it might be desirable to have nucleotide residues that are resistant to nuclease degradation substituting some or all of the ribo- or deoxyribonucleotides. Such nucleotide residues resistant to nucleases are well known in the art and can be easily synthesized by chemical means.

Also provided are nucleic acid vectors comprising the nucleic acid molecules of the invention, as well as host cells comprising the vectors of nucleic acids, and transgenic, knockout or genetically modified animals (other than humans, in particular mice), comprising manipulated nucleic acids of the invention or absent the endogenous sequence.

The invention also provides a composition comprising an isolated polypeptide having an amino acid sequence selected from the group consisting of:

-   -   (a) an amino acid sequence as set forth in SEQ ID NO: 2;     -   (b) an amino acid sequence with at least 85% identity,         preferably 90, 95, 98 or 100% identity to the sequence of (a);         and     -   (c) a subsequence of at least 30, 40, 50, 75, 100 or more         consecutive amino acids of the sequence of (a) or (b), with the         proviso that said subsequence does not fall within amino acid         nos. 1102 and 1152 of SEQ ID NO:2.

Preferably, the amino acid sequence in (b) comprises a conservative substitution of at least one amino acid of the amino acid sequence of SEQ ID: NO: 2. More preferably, the polypeptide or fragment has stem cell differentiation inducing activity, as described above. Useful fragments may exhibit an epitope recognized by polyclonal antibodies raised against the polypeptide having the amino acid sequence shown in SEQ ID NO: 2, for example. A particularly preferred polypeptide is that encoded by the amino acid sequence shown in SEQ ID NO: 2, derived from mouse tissue.

Therefore, also included within the invention are variants and derivatives of the polypeptide described by SEQ ID NO:2 or fragment thereof, whether produced by recombinant means or synthetic means or isolated from naturally occurring sources. For example, peptides having modified amino acids/peptide linkages, and peptides containing non-naturally occurring amino acids and/or cyclic peptides, which may have improved properties such as stability or activity are included. In addition the peptides of the inventing may be in the form or a fusion with another protein, for example, tags for the targeted delivery or detection, or purification of the polypeptide (including fragments thereof.

A “variant” in terms of amino acid sequence defines an amino acid sequence that differs by one or more amino acids from another, usually related amino acid sequence. The variant may have “conservative” changes, wherein a substituted amino acid has similar structural or chemical properties (e.g. replacement of leucine with isoleucine). Less likely, a variant may have “on-conservative” changes, e.g. replacement of a glycine with a tryptophan. Similar minor variations may also include amino acid deletions or insertions (i.e. additions), or both. Guidance in determining which and how many amino acid residues may be substituted, inserted or deleted without abolishing activity (e.g., anti-cancer activity, osteoblast promoting activity, antigenic activity) may be found using computer programs well known in the art. Variants of the polypeptides of the invention include all forms of mutant variants, for example wherein at least one amino acid is deleted or substituted. Any changes involving substitution of amino acids are preferably neutral or conservative substitutions. Other variants include proteins or polypeptides comprising al least one additional amino acid in the sequence, and/or further comprising an additional amino acid sequence or domain, such as fusion proteins, as is well known in the art.

Further variants of the polypeptides of the invention include those wherein at least one of the amino acids in the sequence is a natural or unnatural analogue. Also, one or more amino acids in the sequence may be chemically modified, e.g. to increase physical stability or to lower susceptibility to enzymic, particularly protease or kinase, activity.

Also provided are antibodies that are specifically reactive against the polypeptides of the invention. Methods for producing antibodies are well known in the art. An antibody specific for the polypeptide of the invention can be easily obtained by immunizing an animal with an immunogenic amount of the polypeptide. Therefore, an antibody recognizing the polypeptide of the invention embraces polyclonal antibodies and antiserum which are obtained by immunizing an animal, and which can be confirmed to specifically recognize the polypeptide of the invention by Western blotting, ELISA, immunostaining or other routine procedure known in the art.

It is well known that if a polyclonal antibody can be obtained by sensitization, a monoclonal antibody secreted by a hybridoma may be obtained from the lymphocytes of the sensitized animal (Chapter 6, Antibodies A Laboratory Manual, Cold Spring Harbor Laboratory Press, 1988). Therefore, monoclonal antibodies recognizing the polypeptide of the invention are also provided. Methods of producing polyclonal and monoclonal antibodies are known to those of skill in the art and described in the scientific and patent literature, see, e.g., Coligan, Current Protocols in Immunology, Wiley/Green, NY (1991); Stites (eds.) Basic and Clinical Immunology (7th ed.) Lange Medical Publications, Los Altos, Calif., and references cited therein (Stites); Goding, Monoclonal Antibodies: Principles and Practice (2nd ed.) Academic Press, New York, N.Y. (1986); and Kohler (1975) Nature 256: 495. Such techniques include selection of antibodies from libraries of recombinant antibodies displayed in phage or similar on cells. See, Huse (1989) Science 246: 1275 and Ward (1989) Nature 341: 544. Recombinant antibodies can be expressed by transient or stable expression vectors in mammalian cells, as in Norderhaug (1997) J. Immunol Methods 204: 77-87.

In this invention, an antibody a so embraces an active fragment thereof. An active fragment means a fragment of an antibody having activity of antigen-antibody reaction. Specifically named, these are active fragments, such as F(ab′)2, Fab′, Fab, and Fv. For example, F(ab′)2 results it the antibody of this invention is digested with pepsin, and Fab results if digested with papain. Fab′ results if F(ab′)2 is reduced with a reagent such as 2-mercaptoetbanol and alkylated with monoiodoacetic acid. Fv is a monoactive fragment where the variable region of heavy chain and the variable region of light chain are connected with a linker. A chimeric antibody is obtained by conserving these active fragments and substituting the fragments of another animal for the fragments other than these active fragments. In particular, humanized antibodies are envisioned.

The nucleic acid and polypeptide sequences investigated herein have been found to be differentially expressed in samples obtained from metastatic cancer cell lines and are predicative of tenascin-W expression in metastatic cancer tissue, as well as in other types of cancer and diseases.

Accordingly, certain aspects of the present invention relate to nucleic acids differentially expressed in tumour tissue, especially metastatic cancer cell lines, polypeptides encoded by such nucleic acids, and antibodies immunoreactive with these polypeptides, and preparations of such compositions. Moreover, the present invention provides diagnostic and therapeutic assays and reagents for detecting and treating disorders involving, for example, aberrant expression of the subject nucleic acids.

Thus, in a further aspect of the invention, a composition is provided comprising an isolated nucleic acid molecule encoding tenascin W or a fragment thereof and a pharmaceutically acceptable excipient, diluent or carrier. The pharmaceutical use of nucleic acids encoding tenascin W had not previously been suggested and therefore in this embodiment, the nucleic acids of the pharmaceutical compositions are not limited to the nucleic acids of the invention. In particular, the composition may comprise an isolated nucleic acid having a nucleotide sequence selected from the group consisting of:

-   -   (a) a nucleotide sequence as set forth in SEQ ID No. 1 or SEQ ID         No. 3 (encoding human tenascin W);     -   (b) a nucleotide sequence including the amino acid sequence         shown in SEQ ID NO: 2 or SEQ ID NO: 4;     -   (c) a nucleotide sequence with at least 35% identity, preferably         at least 40, 50, 60, 70, 80, 90, 95 or 100% identity to any one         of the sequences of (a) or (b), preferably (a);     -   (d) a subsequence of at least 10, 15, 20, 25, 30, 40, 50, 75,         100 or more consecutive nucleotides of the sequence of (a), (b)         or (c); and     -   (e) a nucleotide sequence complementary to (a), (b), (c), or         (d), and a pharmaceutically acceptable excipient, diluent or         carrier.

In one embodiment, the nucleic acid molecule encodes tenascin-W having the amino acid sequence as set forth in SEQ ID No. 2 or SEQ ID NO. 4 or an amino acid with at least 30%, preferably at least 50%, 70%, 80%, 90%, 95%, or 100%, identity to a sequence corresponding to SEQ ID NO:2 or 4. The nucleic acid molecules are at least 10, preferably at least 15, 20, 30, 50, 75, 100 or more consecutive nucleotides of SEQ ID No. 1 or SEQ ID No.2 or a sequence complementary thereto.

In one embodiment, the invention provides a composition comprising a nucleotide sequence fragment selected from the group consisting of nucleotides 2380-3171 of SEQ ID No:1 or nucleotides 2371-3162 of SEQ ID No:3, a complement of nucleotides 2380-3171 of SEQ ID No: 1 or of nucleotides 2371-3162 of SEQ ID No:3, and RNA equivalents thereof, which encode an epitope for the binding with an antibody paratope.

In another embodiment, the nucleic acid molecule preferably encodes a protein having stem cell differentiation inducing activity. Although it is well within the skill of the art to identify polypeptides with the appropriate activity using routine methodology, the isolated nucleic acid molecule preferably encodes the amino acid sequence shown in SEQ ID NO: 2 or SEQ ID NO:4, most preferably that of SEQ ID NO:4.

In yet another embodiment, the nucleic acid molecule has a subsequence that is antisense to SEQ ID NO: 1 or SEQ ID NO:3, wherein the nucleic acid molecule may comprise nucleotide residues that arc resistant to nuclease degradation.

The nucleic acid may be antisense to all or a part of a nucleic acid which hybridizes under stringent conditions to SEQ ID No: 1 or SEQ ID No:3, or antisense to a sequence having at least 70% identity with SEQ ID NO:1 or SEQ ID NO:3, that is able to hybridize under low stringency conditions to SEQ ID NO:1 or SEQ ID NO:3, and which encodes tenascin-W. Low stringency conditions employs around 0.01×SSC buffer compared to high stringency which employs about a 10 fold greater concentration. Alternatively, the antisense RNA may be antisense to regulatory sequences of the tenascin-W gene, in particular to 5′ upstream sequences (promoter region) of the gene. Similarly, small RNAI oligonucleoties can be designed to inhibit expression of Tenascin-W in a specific manner.

The nucleic acids can be RNA or DNA, sense or antisense, and in some embodiments, double stranded (including siRNA) or single stranded. In certain embodiments at least some of the nucleotide residues of the nucleic acids (sense or antisense) may be made resistant to nuclease degradation and these can be selected from residues such as phophorothioates and/or methylphosphonates.

The antisense nucleic acids as hereinbefore described can advantageously be used as pharmaceuticals, preferred pharmaceutical applications being for the manufacture of a medicament for the prophylaxis or treatment of cancer.

Thus, the invention also provides a method of preventing or treating a condition dependent on Tenascin W, comprising administering to an individual an effective amount of a nucleic acid, as hereinbefore described. Thus, the invention encompasses the use of such nucleic acid molecules as a pharmaceutical, as well as for the manufacturer of a medicament, in particular for the prophylaxis or treatment of cancer or bone pathologies.

In yet another aspect, the present invention provides expression vectors capable of replicating in a host cell, comprising one or more vector sequences and a nucleic acid sequence encoding tenascin-W. The construct for use as a pharmaceutical is also provided, as well as its use for the manufacture of a medicament for the prophylaxis or treatment of cancer or the prophylaxis or treatment of bone pathologies.

Other embodiments of the invention include nucleic acid constructs capable of replicating in a host cell, comprising (a) at least one nucleic acid sequence portion encoding a tenascin-W protein or polypeptide of the invention (b) antisense nucleic acids as hereinbefore described (or their complement, for example, if expression of the antisense RNA in a cell is foreseen), or (c) nucleic acids as hereinbefore described and at least one nucleic acid sequence encoding a protein other than tenascin-W (or its homologues), e.g. vector sequence. Such constructs are not naturally occurring sequences. The constructs lack essential sequences of DNA which might permit them to function as vectors but are not naturally occurring as “hybrid” nucleic acids. They may include nucleic acid sequences that function as linkers or restriction sites which include without limitation a transcriptional regulatory sequence operably linked to a nucleotide sequence of the invention so as to render said nucleic acid construct capable of replicating in a host cell. Preferred constructs are synthesised using methods of oligonucleotides synthesis well known to those of skill in the art.

Also provided are vectors comprising a construct as hereinbefore described. Preferred vectors are expression vectors, preferably plasmids or viruses although cloning vectors are also provided for, optionally in the form of plasmids.

The invention provides host cells containing vectors. Preferred host cells are eukaryotic cells, more preferably insect cells or mammalian cells.

Constructs, vectors and transformed host cells of the invention are of use as pharmaceuticals, as well as for the manufacture of a medicament for the prophylaxis or treatment of a condition dependent on tenascin W, such as cancer or home disorders.

Similarly, in a further aspect of the invention, a composition is provided comprising tenascin W, preferably recombinant tenascin-W, or a fragment thereof and a pharmaceutically acceptable excipient, diluent or carrier. In preferred embodiments, the tenascin-W is a polypeptide having an amino acid sequence selected from the group consisting of:

-   -   (a) an amino acid sequence as set forth in SEQ ID No. 2 or 4;     -   (b) an amino acid sequence with at least 35% identity,         preferably at least 50%, 70%, 80%, 90%, 95%, or 99% identity to         the sequence of (a); and     -   (c) a subsequence of at least 5, 10, 15, 20, 30, 50, 75, 100 or         more consecutive amino acids of the sequence of (a) or (b).

Preferably, the polypeptide has stem cell differentiation inducing activity as described above. More preferably, the polypeptide is encoded by the amino acid sequence shown in SEQ ID NO:4.

Thus, also provided is the use of tenascin-W for the treatment or prophylactic treatment of any disease or condition requiring increased tenascin-W levels, e.g. thrombosis, wound healing or atherosclerosis, as well as a condition ameliorated by the promotion of osteogensis, e.g. bone healing, osteoporosis, as well as the use of tenascin-W as a stem cell marker. In yet a further aspect, the tenascin-W protein is used as a pharmaceutical.

The present invention further provides the use of a tenascin-W, e.g. for the manufacture of a medicament, for the prevention or prophylactic treatment of tumourigenesis or the treatment or prophylactic treatment of tumours or cancer. The invention also includes the use of the tenascin-W or for the manufacture of a medicament for the treatment or prophylactic treatment of any one or more of bone disease, rheumatism, asthma, allergic diseases, autoimmune diseases, prevention of transplant rejection and any other diseases involving tenascin e.g. thrombosis, cancer, wound healing and artherosclerosis.

The invention therefore provides pharmaceutical compositions for humans or veterinary compositions for animal use that comprise one or more of the aforementioned active fragments of tenascin-W. The compositions may also include other active or non-active agents. Non-active agents may include a pharmaceutically acceptable excipient, diluent or carrier, but not limited to saline, buffered saline, dextrose and water.

The compositions and medicaments of the invention may therefore be used prophylaelically in order to prevent tumours from forming, or they may be used in a curative or partly curative way to treat or contain a pre-existing tumourous condition. As well as tumours, cancerous or malignant conditions may be prevented or treated with compositions or medicaments of the invention.

In a particular aspect, the present invention provides the use of the nucleic acid or proteins or polypeptides as hereinabove described, for radioimmunotherapy. Use of radiolabeled antibody is a promising approach to target radiotherapy directly into the tumor. Anti-tenascin-C antibodies are currently tested in phase I and II clinical trials. Patients with malignant gliomas were administrated locoregional radioimmunotherapy (LR-RIT) using ¹³¹I labeled anti-tenascin antibody injected directly in the tumor (Riva et al., 1999a). The first results show that IR-RIT can be safely performed, with good results especially in patients with minimal disease. Similar approach was performed with ⁹⁰Y (a pure beta emitter)-labeled antibodies Riva el al., 1999b), with promising results. Potentially more efficient radioimmunotherapics were shown to be possible using other isotopes, like in the case of an ²¹¹At-labeled anti-tenascin antibody (Zalutsky et al., 2001), without excessive toxicity for the patient. It is as well a useful tool for precise imaging of tumors, since the presence of isotopes specifically targeted into the tumor allows sequential scintigraphies of the tumor (Riva el al., 1999a), and makes possible a direct estimation of the success of the therapy. Similar methodologies can be applied using antibodies specific for tenascin-w.

The tumours or tumor cells of the present invention are preferably those which express tenascin-W in the stroma. In particularly preferred embodiments the tumours are solid tumours, e.g. mesenchymal tumours such as osteosarcoma, glioblastoma or epithelial cancers such as breast, prostate, lung and colorectal carcinoma.

The invention further provides the use of tenascin-W for the treatment or prophylactic treatment of a condition ameliorated by the promotion of osteogenesis, e.g osteoporosis, osteoarthritis, treatment of cartilage and bone pathologies. A protein or polypeptide as hereinabove described may be used to be incorporated into implants including without limitation hip joints, knee joints, or broken bones, to promote osteogensis.

The invention also provides a method of preventing or prophylatic treatment of tumourigenesis or of treatment or prophylactic treatment of tumours or cancer or of any one or more of rheumatism, asthma, allergic diseases, autoimmune diseases, prevention of transplant rejection or the treatment or prophylactic treatment of any disease involving tenascin-W, e.g., thrombosis, wound healing and atherosclerosis in an individual comprising administering an effective amount of a tenascin-W or a fragment thereof.

The invention also provides a method of treatment or prophylactic treatment of a condition ameliorated by the promotion of osteogenesis, e.g. osteoporosis, osteoarthritis, treatment of cartilage and bone pathologies in an individual comprising administering an effective amount of tenascin-W or a fragment thereof.

The determination of an effective dose is well within the capability of those skilled in the art. For any compound, the therapeutically effective dose can be estimated initially either in cell culture assays or in an appropriate animal model. The animal model is also used to achieve a desirable concentration range and route of administration. Such information can then be used to determine useful doses and routes for administration in humans.

A therapeutically effective dose refers to that amount of active agent which ameliorates the symptoms or condition. Therapeutic efficacy and toxicity of such compounds can be determined by standard pharmaceutical procedures in in cell cultures or experimental animals (e.g., ED₅₀, the dose therapeutically effective in 50% of the population; and LD₅₀, the dose lethal to 50% of the population). The dose ratio between therapeutic and toxic effects is the therapeutic index, and it can be expressed as th ratio, LD₅₀/ED₅₀. Pharmaceutical compositions which exhibit large therapeutic indices are preferred. The data obtained from cell culture assays and animal studies is used in formulating a range of dosage for human use. The dosage of such compounds lies preferably within a range of circulating concentrations that include the ED₅₀ with little or not toxicity. The dosage varies within this range depending upon the dosage from employed, sensitivity of the patient, and the route of administration.

The exact dosage may be chosen by the individual physician in view of the patient to be treated. Dosage and administration can be adjusted to provide sufficient levels of the active moiety or to maintain the desired effect. Additional factors which may be taken into account include the severity of the disease state (e.g. tumour size and location); age, weight and gender of the patient; diet; time and frequency of administration; drug combination(s); reaction sensitivities; and tolerance/response to therapy. Long acting pharmaceutical compositions can be administered on a daily basis, every 3 to 4 days, every week, or once every two weeks, depending on half-life and clearance rate of the particular formulation.

The present inventors have observed stem cells, especially the periosteum, the stem cell compartment for osteogenesis, expressing tenascin-W and therefore also encompassed by the invention is a method of the invention, wherein tenascin-W is used as a stem cell marker for cells including without limitation osteogenic precursor cells in the bone marrow. Therefore, also provided is a method of selecting stem cells or progenitor cells having the ability to differentiate into osteoblasts from other cells, not having this ability. Stem cells expressing tenascin-W can be detected by an antibody. The antibody recognizing tenascin-W can be detected using secondary antibodies specific for the tenascin-W antibody, which are optionally labelled with a radio-label, an enzyme, avidin or biotin, or fluorescent materials (e.g. green fluorescent protein (GFP) or rhodamine), for example. The cells are characterized by having tenascin-W expression above basal levels and arc preferably selected from a mixed population of cells using the fluorescence-activated cell sorter (FACS) (see for example Abe et al., Dev Biol. 1996; 180(2):468-72). The selected cells therefore carry a protein delectable by fluorescence. The sorted cells are useful for the production of biological parts of the body, e.g. bone tissue.

Also provided are antibodies that specifically recognizes tenascin W for use as a pharmaceutical, as well as for the manufacture of a medicament, for the prophylaxis or treatment of cancer (e.g., glioblastoma, prostate, lung, colorectal, osleo- or breast carcinoma), including metastatic cancer, or for the prophylaxis or treatment of any disease or condition involving tenascin-W, e.g. excessive bone growth. In another aspect of the present invention, an antibody specifically reactive against tenascin-W or a fragment thereof, and the use or an antibody for the manufacture of a medicament for the prophylaxis or treatment of cancer, and the antibody for use as pharmaceutical is provided.

Antibodies that specifically recognize tenascin-W or a fragment thereof are also provided, in particular anti-bodies that recognise the above mentioned epitope.

Methods for detecting tenascin-W embrace, for example, the use of an antibody as referred to above, optionally with the use of an enzyme reaction. The antibody recognizing tenascin-W can be detected using secondary antibodies specific for the tenascin-W antibody, which are optionally labelled with a radiolabel, an enzyme, avidin or biotin, or fluorescent materials (FITC or rhodamine), for example.

Also encompassed by the invention is the use of an antibody that specifically recognizes tenascin-W for the manufacture of a medicament, in particular a medicament for the prophylaxis or treatment of cancer, the prophylaxis or treatment of bone disease, or as a pharmaceutical. In particularly encompassed by the invention is the use of an antibody that specifically recognizes tenascin-W for the diagnosis of tumour, especially metastatic tumour.

In a further embodiment, the present invention provides a method for identifying agents for the prevention or the prophylactic treatment of tumourigenesis or the treatment or prophylactic treatment of tumours or cancer, or the treatment or prophylactic treatment of any disease or condition involving tenascin-W. e.g. a condition ameliorated by the promotion (or inhibition) of osteogenesis, comprising contacting a test compound with a tenascin-W expressing sample and then measuring a change in one or more of (a) cell proliferation, e.g. cell progression entering S-phase of the cell cycle; (b) DNA synthesis; (c) cell adhesion; (d) cell spreading; (e) focal adhesion and actin stress fibre formation on fibronectin; (f) cell binding to extracellular matrix (ECM), relative to when said test compound is absent.

Cells may be encouraged to proliferate by the addition of tenascin-W to the cell culture, preferably by coating the solid substrate therewith. A substrate can be any surface that promotes cell adhesion. The solid substrate may also be coated by other ECM which include without limitation fibronectin, collagen, etc. The cell cultures are preferably grown on a solid substrate or in a liquid medium. A first measurement of one or more of (a) to (f) may be made prior to contacting the cells with a test substance. A second measurement may be made thereafter. A multiplicity of further measurements may be made over a period of hours or days after contact of the cells with the test compound. In this way a time course of the cellular response(s) may be obtained and analysed.

In one preferred embodiment of the present invention, the presence of tenascin-W in the liquid medium is measured relative to when a test compound is absent. An increase in the level of tenascin-W present to the medium relative to when said test agent is absent correlates to an agent effective in the promotion of osteogenesis, for example. A decrease in the level of tenascin-W present in the medium relative to when said test agent is absent correlates to an anti-proliferative or anti-tumour agent, or an agent effective in inhibiting osteogenesis or osteoblast formation.

In preferred aspects one or more of the following conditions arising after contacting cells with a test compound is indicative of an anti-proliferative or anti-tumour agent, or an inhibitor of osteoblast formation:

-   -   (a) a reduction in cell proliferation; or a decrease in the         proportion of cells entering S-phase of the cell cycle;     -   (b) a reduction in DNA synthesis;     -   (c) an increase in cell adhesion;     -   (d) an increase in cell spreading;     -   (e) an increase in focal adhesion and actin stress fibre         formation on fibronectin; and     -   (f) an increase in the binding of cells to ECM, preferably         fibronectin;

In other preferred aspects one or more of the following conditions arising after contacting cells with a test compound may indicate an osteogenesis promoting agent:

-   -   (a) an increase in cell proliferation; or an increase in the         proportion of cells entering S-phase of the cell cycle;     -   (b) an increase in DNA synthesis;     -   (c) and (d) an increase in the expression of bone-specific         markers such as alkaline phosphates activity, calcification or         any others known in the art (e.g., Raouf and Seth, 2002, Bone         30: 463-71).

Actin stress fibre formation may be assayed according to the Actin Assembly Assay described in Bloom, I. et al (1999) Mol Biol Cell 10: 1521-1536. Adhesion assays may be performed according to the method described in Bloom, I. et al (1999).

In other embodiments, the method of the invention may further comprise control cells grown in the absence of test substance and (a), (b), (c), (d), (e), and/or (f) are measured in both control and test cultures. The test measurements can thereby be normalised with respect to the control.

The screening method further provides an essentially cell-free system for the identification of potential anti-tumour or tumor preventing agents or for an agent inhibiting osteogenesis. This method relies on the ability of a potential anti-tumour agent to prevent, inhibit or disrupt the binding between an ECM and tenascin-W. The nature of any disruption of the ECM and tenascin-W binding may be determined by performing a binding assay for ECM and tenascin (see e.g. example 10). For example, calorimetric methods may be used or measurement of labelled reagents.

Alternatively, a method is provided for identifying modulators of tenascin W function, comprising: (a) contacting a test compound with tenascin W and/or alpha8 beta1 integrin, and (b) measuring the binding of the test compound to tenascin-W and/or alpha8 beta1 integrin, or (c) measuring a disruption of binding of tenascin-W to alpha8 beta1 integrin, relative to when the test compound is absent. A decrease in binding of tenascin-W to alpha8 beta1 integrin is indicative of an inhibitor of this interaction, and increased binding could indicated that the test compound activates the alpha8 beta1 integrin, thereby increasing the interaction between tenascin-W and alpha8 beta1.

The relative amounts or concentrations of reagents and test substance may be varied, hereby permitting calculation of inhibition constants and other parameters, e.g. binding affinities. The optimisation of assay conditions will be well within the realm of one of ordinary skill in the art. The system may further comprise a control without test substance and the binding is measured in the control, thereby permitting corresponding measurements in the test system to be normalised relative to the control.

Where one component of the assay (screening) systems of the invention is coupled lo a solid particle or substrate, then one or more of the other components not so coupled may be labelled. Examples of labels include radio-labels e.g. ¹⁴C or ³H, dyes, metal sols, enzymes or biotin/avidin. By attaching such labels to “free” components in the system any binding assay may be carried out in solution in accordance with procedures well known in the art. After allowing the components to react solid phase particles can be separated from solution, e.g. by filtration or sedimentation (including centrifugation). In some embodiments immunoprecipitation may be used to separate bound and free labelled components. Usually, an antibody may be employed to bring an unlabelled component out of solution (whether or not this component has bound to another labelled component or not). After separation, the label present in solution (free) and the label present in or on the solid phase (bound) may be measured. Standard analyses of such bound and free data, e.g. Scatchard plots and the determination of affinity and inhibition constants for binding are well known to the person of ordinary skill in the art.

Where the solid phase is not particulate, e.g. in the form of a surface, such as a microfilter plate well, then binding assays measuring bound and free label may be performed but this will normally involve th removal of liquid phase from the wells after binding reactions have occurred. Advantageously, this assay format may dispense with the need for providing specifically labelled reaction components. Instead, labelled antibodies may be used to measure the binding of previously free reaction components to solid phase components.

In some embodiments the tenascin-W molecule, variant or fragment thereof may be attached directly to a solid phase. In preferred immunoassay embodiments of this type, tenascin-W bound to an ECM is measured using an antibody reactive against tenascin-W.

Immunological binding assays are known in the art. For a review, see Methods in Cell Biology Vol 37: Antibodies in Cell Biology. Asai, (Ed.) Academic Press, Inc. New York (1993).

A label may be any detectable composition whereby the detection can be spectroscopic, photochemical, biochemical, immunochemical, physical or chemical. For example, useful labels can include ³²P, ³⁵S, ³H, ¹⁴C, ¹²⁵I, ¹³¹I, fluorescent dyes (e.g. FITC, rhodamine and lanthanide phosphors), electron-dense reagents, enzymes, e.g. as commonly used in ELISA (e.g. horseradish peroxidase, beta-galactosidase, luciferase and alkaline phosphatase), biotin, dioxigenin, or haptens and proteins, for which antisera or monoclonal antibodies are available. The label may be directly incorporated into a target compound to be detected, or it may be attached to a probe or antibody which binds to the target.

Throughout the assays of the invention, incubation and/or washings steps may be required after each application of reagent or incubation of combinations of reagents. Incubation steps may vary from about 5 minutes to several hours, perhaps from about 30 minutes to about 6 hours. However, the incubation time usually depends upon the assay format, analyte, volume of solution, concentrations, and so forth. Usually, the assays should be carried out at ambient temperature, although they may be conducted at temperatures; in the range of 10° C., to 40° C., for example.

A particularly preferred assay format is an enzyme-linked immunosorbent assay (ELISA).

All of the aforementioned methods of screening of this invention are equally applicable to the screening of substances for biological activity and potential agents for any other disease or condition involving tenascin-W, e.g. wound healing or treatment of artherosclerosis.

Also included within the scope of the present invention are anti-tumourigenic, anti-tumor, anti-metastatic, (anti-)osteogenic, wound healing or anti-arthrosclerosis substances or substances for the treatment or prophylatic treatment of any disease or condition involving tenascin-W identified by any of the screening methods of the invention. These substances may be proteins, polypeptides or small organic molecules (drugs). The invention therefore includes pharmaceutical compositions for preventing or treating tumours, metastasis, or bone pathologies and comprising one or more of the substances identified by a method of the invention. For example, inhibitors of tenascin-W expression or activity are considered potential anti-cancer agents, whereas tenascin W or agonists thereof are considered agents effective in promoting osteogenesis, which can be used in vivo or ex vivo.

Thus, the present invention provides a novel mammalian member of the tenascin family and uses thereof. It permits the identification of agents effective against conditions dependent on tenascin-W, in particular anti-cancer agents or agents that promote osteogenesis, by performance of any of the methods of screening described herein. Preferred anti-cancer agents are those which inhibit proliferation of the cancer cells and which may be general anti-proliferative agents.

The invention includes all nucleic acid molecules and proteins and polypeptides as hereinabove described, as well as agents identified by performing the methods, and the use of these agents as pharmaceuticals, particularly as medicaments for the prophylaxis or treatment of cancer and other conditions dependent on tenascin W.

Thus, in a further aspect the invention provides for the use of tenascin-W and of an agent identified by a screening method or the invention as a pharmaceutical.

The invention further provides tenascin-W or an agent identified by a screening method of the invention, for the manufacture of a medicament for the prophylaxis or treatment of a condition dependent on tenascin-W, for use to treat cancer or bone diseases or an immunological defect.

The invention provides a method of preventing or treating a condition dependent on tenascin-W comprising administering to an individual an effective amount of a construct, vector, host cell or antibody described above.

The invention also provides a method of inhibiting a condition dependent on tenascin-W comprising administering an effective amount of the modulator identified by a screening method of the invention described above, for the treatment of cancer or bone disease or an immunological defect.

Also provided by the invention are the nucleic acid molecules, the proteins, and the agents referred to above in a pharmaceutical composition, possibly in the presence of suitable exponents known to one of ordinary skill in the art. The compositions may be administered in the form of any suitable composition as detailed below by any suitable method of administration within the knowledge of a skilled man. The preferred route of administration is parentally. In parenteral administration, the compositions of this invention will be formulated in a unit dosage injectable form such as a solution, suspension or emulsion, in association with a pharmaceutically acceptable excipient. Such excipients are inherently nontoxic and nontherapeutic. Examples of such excipients are saline. Ringers solution, dextrose solution and Hank's solution. Nonaqueous excipients such as fixed oils and ethyl oleate may also be used. A preferred excipient is 5% dextrose in saline. The excipient may contain minor amounts of additives such as substances that enhance iso-tonicity and chemical slability, including buffers and preservatives.

Any protein is administered al a concentration that is therapeutically effective to prevent allograft rejection, GVHD, allergy and autoimmune diseases. The dosage and mode of administration will depend on the individual. Generally, the compositions are administered so that the functional protein is given at a dose between 1 pg/kg and 10 mg/kg, more preferably between 10 ug/kg and 5 mg/kg, most preferably between 0.1 and 2 mg/kg. Preferably, it is given as a bolus dose. Continuous short time infusion (during 30 minutes) may also be used. The compositions according to the invention may be infused at a dose between 5 and 20 μg/kg/minute, more preferably between 7 and 15 ug/kg/minute.

According to a specific case, the “therapeutically effective amount” of a composition needed should be determined as being the amount sufficient to cure the patient in need to treatment or al least to partially arrest the disease and its complications. Amounts effective for such use will depend on the severity of the disease and the general state of the patient's health. Single or multiple administrations may be required depending on the dosage and frequency as required and tolerated by the patient.

The present invention also provides a method of diagnosing or prognosing cancer, or any other condition dependent on elevated tenascin W levels, comprising, (a) analysing a sample obtained from an individual for the presence of tenascin-W; and (b) correlating the presence of tenascin-W with an unfavourable prognosis or diagnosis.

The methods of the present invention will typically involve the determination of the presence, level, or activity of tenascin-W in a cell or tissue sample, which sample will often be obtained from a human, but one can also readily understand that samples tested by the present method can be obtained from agriculturally important mammals, such as cattle, horses, sheep, etc., or other animals of veterinary interest, such as cats and dogs. The assay may be carried out on any cell or tissue sample, such as somatic tissues, germiline tissues, or cancerous tissues, as well as on samples from body fluids, such as pleural fluid, blood, serum, plasma and urine. The method may also further comprise propagating cells in the sample in cell culture.

A “sample”is the material being analyzed which is usually, but not necessarily, subjected to pretreatment to provide the tenascin-W in assayable from. This would for example, entail forming a cell extract, methods for which are known in the art (for example, see Scopes, Protein Purification: Principles and Practice, Second Edition (Springer-Verlag, N.Y., 1987)).

In the broader aspects of the invention, there is no limitation on the collection and handling of samples as long as consistency is maintained. The sample is obtained by methods known in the art, such as, biopsies, surgical resections, smears, or the like. Optionally, cells obtained in a sample may be propagated in cell culture.

Consistency of measurement of tenascin-W or tenascin-W activity in clinical samples can be ensured by using a variety of techniques. For example, to control for the quality of each tissue extract, another enzymatic activity, such as alkaline phosphatase, can serve as an internal control. In addition, an internal standard can be measured concurrently with tenascin-W in the sample as a control for assay conditions. Thus, the analyzing step can comprise detecting a control protein in the sample, optionally normalizing the value obtained for tenascin-W with a signal obtained with the control protein.

The presence of tenascin-W in the sample can be determined by detecting the tenascin-W protein using methods known in the art. In this invention, there are no limitations on the type of assay used to measure tenascin-W or tenascin-W activity. Tor example, tenascin-W can be deflected by immunoassays using antibodies specific for tenascin-W. The antibody can be used, for example, in Western blots of two dimensional gels where the protein is identified by enzyme linked immunoassay or in dot blot (Antibody Sandwich) assays of total cellular protein, or partially purified protein.

Methods for sample concentration and protein purification are described in the literature (see Scopes, 1987). For example, if desired, the tenascin-W present in the cell extract can be concentrated, by precipitating with ammonium sulfate or by passing the extract through a commercially available protein concentration filter, e.g., an Amicon or Millipore, ultrafiltration unit. The extract can be applied lo a suitable purification matrix, such as an anion or a cation exchange resin, or a gel filtration matrix, or subjected to preparative gel electrophoresis. In such cases, the tenascin-W and protein yield after each purification step needs to be considered in determining the amount of tenascin-W in a sample.

Tenascin-W may be detected using an antibody specific for tenascin-W, and a control assay can be carried out using an antibody specific for another tenascin molecule. Optionally, the method may further comprise correlating in an increase in tenascin-W in the sample relative to healthy tissue. For example, tenascin-W can be detected using an antibody specific for tenascin-W expressed in tumour tissue and compared to antibody binding to any tenascin-W expressed (or non-specific reaction) in healthy tissue.

The sample is preferably a tissue sample mounted onto a solid surface for histochemical analysis. The presence of detectable, accessible tenascin-W indicates that tenascin-W is accessible to cells for binding. This leads to a unfavourable diagnosis or prognosis. If, on the other hand, the antibody does not react with tenascin-W in the tissue section, then there is an expectation that tenascin-W is not present. This leads to a favourable diagnosis or prognosis.

The present inventors have found that tenascin-W is specifically expressed in solid tumours, in particular metastatic tumour tissue or siroma thereof. The presence of tenascin-W therefore indicates a cancerous condition, in particular the presence of metastatic tumour tissue, whereas the absence of tenascin-W indicates healthy tissue or non-metastatic tumour tissue. Tenascin-W was identified in developing mouse tissues by western blotting. High expression of tenascin-W was found in the metastatic tumours of non-metastatic tumours. The presence of tenascin-W (170 kD) is indicative of unfavourable diagnosis.

In a further embodiment, the diagnostic and prognostic methods of the invention further comprises analysing the sample for the presence of alpha 8 integrin, the presence of alpha 8 integrin correlating with an unfavourable prognosis or diagnosis. This can easily be achieved, for example, using an antibody as described in detail in Example 8 below.

In a preferred embodiment, the invention provides kits suitable for use in the diagnostic or prognostic methods of the invention. Such kits comprise reagents useful for carrying out these methods, for example, antibodies from one or more species specific for tenascin-W and alpha 8 beta1 integrin. Secondary antibodies that recongnise either or both such primary anti-fibronectin antibodies can also be included for the purpose of recognition and detection of primary antibody binding to a sample. Such secondary antibodies can be labelled for detection e.g. with fluorophores, enzymes, radioactive labels or otherwise. Other detection labels will occur to those skilled in the art. Alternatively, the primary anti-tenascin-W antibodies can be labelled for direct detection.

EXAMPLE 1 Cloning of Mouse Tenascin-W

Mouse tenascin-W was cloned from a cDNA library of 19d whole mouse embryos (DupLEX-A DLM-110; OriGene Inc.). In a first step the following PCR primers derived from a sequence from chromosome 1, similar to Tenascin-R (Accession number AL049689) were used for nested PCR reactions with the Expand High Fidelity PCR System (Roche) using the mouse cDNA library as template. The first reaction was performed with the primer set 5′-TAGCAGCCCACAGCATCTACTTGCC-3′ (SEQ ID NO:5)/5′-ATTGCTGTTCTGCTGAACCTGACTGCA-3′ (SEQ ID NO:6) and the second reaction with 5′-ATGGATCCAGAAATTGACGGCCCCAAAACCTAG-3′ (SEQ ID NO:7)/5′-ATAAGCTTGTGGAGAGGGTGGTGGATACATTTC-3′ (SEQ ID NO:8). The second primer set included a BamHI and a HindIII restriction site, respectively, to allow the directed cloning into the bacterial expression vector pQE30 (Qiagen) supplying a C-terminal His-tag for the purification of the recombinant proteins.

The mouse proteins (tenascin W polypeptide fragments obtained as a result of the above procedure) were expression in E. coli and purified by a affinity chromatography to a Ni-NTA matrix (Qiagen) according to the matrix supplier's manual. The protein was purified under native conditions and was eluted with 250 mM imidazole.

Full length tenascin-W was cloned by the use of mouse tenascin-W specific primers derived from the above mouse tenascin-W cDNA and primers matching the vector of the same 19d whole mouse embryo cDNA library used before. To obtain the complete 5′ sequences, the following PCR reactions using the above cDNA as template were performed: The first PCR reaction was performed using the primer pair 5′-AGGAGATGGTGGCTGTATTTTCGG-3′ (SEQ ID NO:9)/5′-AGCCTCTTGCTGAGTGGAGATGCC-3′ (SEQ ID NO:10) followed by a second PCR reaction with the primer set 5TAGAATTCGGTCACCTGATTGGTCACTAGG-3′ (SEQ ID NO:1)/5′-TTATGATGTGCCAGATTATGCC-3′ (SEQ ID NO:12). To complete the 3′ part of the tenascin-W cDNA the following PCR reactions were performed. In the first reaction the primer pair 5′-CTCAAAATTGATGGCTACATTTTGACC-3′ (SEQ ID NO:13)/5′-MGCCGACAACCTTGATTGGAGAC-3′ (SEQ ID NO:14) was used followed by the primer pair 5′-TACCAGTTCCCAAATGGCACCG-3′ (SEQ ID NO:15)/5′-AAACCTCTGGCGMGAAGTCC-3′(SEQ ID NO: 16). In each case the longest products were cloned. These overlapping tenascin-W cDNA clones were assembled into one full length mouse tenascin-W cDNA and cloned into the expression vector pCEP/Pu (see Kohfeldt et al. (1997).

FEBS I. eft. 414:557-61). At the 3′ end of the tenascin-W cDNA a 6×His-tag was inserted in front of the stop codon to allow the purification of full length mouse tenascin-W protein expressed in mammalian cell culture.

The recombinant mouse tenascin-W protein comprises three C-terminal fibronectin type III repeats in the region defined by amino acids 794-1057 of the complete amino acid sequence of mouse tenascin-W, encoded by nucleotides 2380-3171 of the tenascin-W nucleotide sequence.

EXAMPLE 2 Characterization of Mouse Tenascin-W

The full length cDNA of mouse tenascin-W was cloned as described in example 1. The cDNA sequence encodes a typical member of the tenascin protein family and harbors from the N-terminus to the C-terminus of the protein the following structural domains: signal peptide for secretion, N-terminal domain for dimerisation of two tenascin-W trimers that are assembled by heptad repeats. This results in a disulfide-linked hexameric protein complex where each subunit contains three and a half EGF-like repeals, nine fibronectin type III repeats, and a fibrinogen-like C-terminal globular domain.

The full length tenascin-W cDNA was transfected into HEK 293 cells using the transaction reagent fugene (Roche). Transfected cells were selected with puromycin and the medium containing the secreted tenascin-W protein was collected and the protein was purified by sequential chromatography over a gclatin-agarosc column (Sigma) to remove any contaminating fibronectin in the preparation and by adsorption to a Ni-NTA matrix (Qiagen). The tenascin-W was eluted from the nickel column by 250 mM imidazole.

The recombinant protein was also analyzed by SDS-PAGE (sodium dodecyl sulfate—polyacrytamide gel electrophoresis) on 6% polyacrylamide gels, under reducing and non-reducing conditions as well as by electron micros-copy after rotary shadowing using the same procedure as described for tenascin-C (Chiquet-Ehrismann, R. et al. (1988) Cell 53, 383-390). Tenascin-W showed a similarly slow migration as the hexameric tenascin-C protein. Electronmicrographs of tenascin-W after rotary shadowing indeed revealed hexameric molecules with six subunits of about 50 nm length radiating from a central globular domain.

EXAMPLE 3 Cloning of Human Tenascin-W

Human tenascin-W was cloned from cDNA made from mRNA isolated from the osteosarcoma cell line Saos-2 (ATCC; HTB 85) essentially as described in Example 1 using the same PCR primers. The human protein was expressed and purified by affinity chromatography to a Ni-NTA matrix (Qiagen) according to the matrix suppliers manual. The protein was purified under native conditions and was eluted with 250 mM imidazole.

The recombinant protein comprises the three C-terminal fibronectin type III repeats in the region defined by amino acids 791-1054 of the complete amino acid sequence of human tenascin-W encoded by nucleotides 2371-3163 of the tenascin-W nucleotide sequence of the database entry AL049689), respectively.

Full length tenascin-W is cloned by the use of human tenascin-W specific primers derived from the above human tenascin-W cDNA and human genomic sequences 5′ to the ATG start condon of the cDNA sequence entry AL049689 using cDNA made from mRNA isolated from osteoarcoma cell line Saos-2 (ATCC; HTB 85) as the template. The following primers are used for three sets of nested PCRs:

hTNW1: 5′CATCCTGGAGGGTCTGCTCC3′ (SEQ ID NO: 17) hTNW2: 5′GGGCAATTGGTGTCAGCTTTC3′ (SEQ ID NO: 18) hTNW3: 5′GACTCGAGCTTTCCAAGGATGAGTCTCC3′ (SEQ ID NO: 19) hTNW4: 5′GAGGATCCCCTGGTTGCCCCTTTCAG3′ (SEQ ID NO: 20) hTNW5: 5′GCGCTACACTTCTGCTGATG3′ (SEQ ID NO: 21) hTNW6: 5′CTGTGGAGAGGGTGGTGG3′ (SEQ ID NO: 22) hTNW7: 5′GACTCGAGTGCACAAGGATGAGAGCAG3′ (SEQ ID NO: 23) hTNW8: 5′GAGGATCCACCCTTAAAGGCAACAAGGG3′ (SEQ ID NO: 24) hTNW8: 5′GAGGATCCACCCTTAAAGGCAACAAGGG3′ (SEQ ID NO: 24) hTNW9: P 5′CGCAGTCTGGTGGCATATTG3′ (SEQ ID NO: 25) hTNW10: 5′CATGATTTGTTCTGCGGGC3′ (SEQ ID NO: 26) hTNW11: 5′GACTCGAGCGGCTACATTCTGACTTACC3′ (SEQ ID NO: 27) hThW12: 5′GAGGATCCTCAGTGATGGTGATGGTGATG3′ (SEQ ID NO: 28)

The following PCR reactions are performed using for fragment A primer combinations hTNW1/hTNW2 followed by hTNW3/hTNW4, for fragment B htNW5/hTNW6 followed by hTNW7/hTNW8 and for fragment C hTNW9/htNW10 followed by hTNW11/hTNW12. These three fragments can be joined together to make up the full length human tenascin-W by digesting fragment A with XhoI and AccI, fragment B with AccI/NarI and fragment C with NarI/BamIII and cloning the ligated assembly into the XhoI/BamHI sites or the expression vector pCEP/Pu (see Kohfeldt et al. (1997) FEBS Lett. 414:557-61). At the 3′end of the human tenascin-W cDNA a 6×His-tag was inserted in front of the stop codon for ease of purification upon expression in mammalian cell culture. Human tenascin-W is purified as described for mouse tenascin-W (example 2).

EXAMPLE 4 Antibody Production, Immunohistochemistry and Immunoblots: Expression of Tenascin-W During Development

The bacterially expressed recombinant fragment of mouse tenascin-W as described above in Example 1, was used to raise polyclonal antiserta in rabbits using standard immunization procedures. These antisera were used to detect tenascin-W in tissue extracts and cryosections of developing mouse embryos using methods described for tenascin-Y (Hagios, C. et al. (1996) J. Cell Biol. 134, 1499-1512). The antiserum reacted specifically with purified full-length recombinant tenascin-W as well as with endogenous tenascin-W in tissue extracts of mouse organs, as demonstrated by Western blotting. In both cases, tenascin-W was identified as a 170 kDa molecular weight species.

The anti-tenascin-W antiserum was used to investigate tenascin-W expression during normal mouse development by immunohistochemistry. For immunohistochemistry, tissues were fixed in ice-cold 4% paraformaldehyde in phosphate-buffered saline (PBS) overnight, washed with PBS and cryoprotected with 25% sucrose in PBS overnight at 4° C. The tissues were embedded in OCT (Optimal Cutting Temperature) mounting medium (Cal. No. 27050 OCT Compound by Ted Pella Inc., Calif.) and sections of 12-16 μm were cut and collected onto glass slides. The sections were air-dried for 2 hours before staining with anti-tenascin-W antiserum followed by a fluorescently labelled secondary antibody.

Tenascin-W first appears at embryonic day 11.5 (E11.5) in the maxillary process. Between: E14.5 and E16.5, tenascin-W and tenascin-C expression overlaps in developing connective tissue (palate and mandible) in the face and jaw. Furthermore tenascin-W is found in the extracellular matrix (ECM) or smooth muscle, mesothelia and bone. In the adult mouse tenascin-W is found in a subset of the tenascin-C-positive ECM of the aortic valve and the limbus. In these locations its expression coincides with the stem cell compartment of the respective tissue. Tenascin-W is also expressed in the periosteum, the stem cell compartment for osteogenesis. Tenascin-W is also expressed in kidney and the digestive tract in a subset of tenascin-C-positive regions, but not in the brain.

EXAMPLE 5 Monoclonal Antibodies Against Human Tenascin-W

The bacterially expressed recombinant fragment of human tenascin-W as described above in Example 3 was used to raise monoclonal antibodies against human tenascin-W using standard procedures. The monoclonal antibodies reacted specifically with human tenascin-W having better building than relying on the crossreactivity of the anti-mouse tenascin-W for human tenascin-W. The monoclonal antibodies are particularly useful to stain human tissues.

EXAMPLE 6 Tenascin-W Expression in Tumor Cells

Tenascin-W expression in tumour cells was tested and compared with the known results for tenascin-C which has been found to be highly expressed in tumour tissues (Chiquet-Ehrismann, R. (1993) Sem. Cancer Biol. 4, 301-310). Mouse mammary tumours develop readily in transgenic mice expressing oncogenes under the control of mammary glad-specific promoters. Overexpression of c-myc results in the growth of non-mestasatic tumours whereas overexpression of 11a-ras leads to the development of meta-static tumours (I.i, F. et al. (1994) Int. J. Cancer 59, 560-568).

In this Example, the antisera described in Example 4 were used to detect tenascin-W in mouse mammary tumours as described for tenascin-Y by Hagios, C. et a., (1996). High expression of tenascin-W (about 170 kDa) was found in the tumours of res-transgenic mice (metastatic), but not in the mye- or neuT-transformed non-metastatic tumours, whereas tenascin-C was over-expressed in both types of tumours.

As a control, expression of tenascin-W was examined in healthy tissue, using blood serum, for example. The content of tenascin-W in serum is analyzed by Western blotting. For improved sensitivity a Sandwich ELISA test as described previously for tenascin-C (Schenk et al 1995. Int. J. Cancer 61:443-449) can be used. Briefly, 96-well plates are coated with either polyclonal or monoclonal anti-tenascin-W antibodies. The serum samples are applied, the wells washed and the bound tenascin-W is detected by either a polyclonal or a monoclonal anti-tenascin-W antibody followed by an appropriate perioxidase-labeled secondary anti-body. No expression of Tenascin-W was found in blood serum from wild-type mice. In contrast, healthy kidney, heart valve and periosterum was found to express Tenascin-W. Transgenic mice overexpressing neuT develop non-metastasizing mammary tumours, whereas in transgenic mice overexpressing neuT together with EphB4 receptor tyrosine kinase the tumours are metasatic (Munarini, N, et al. (2002) Cell Sci. 115, 25-37). Using this model system we again found high expression of tenascin-W in mestastic tumours, but not in non-metastatic ones. These expression patterns were confirmed by SDS-PAGE (SDS-polyacrylamide gel electrophoresis), by fractionating tumour extracts, blotting on polyvinylidene difluride membranes, and analyzing the extract using anti-tenascin-W antisera.

EXAMPLE 7 Adhesion Assay

The purified tenascin-W was used for cell adhesion studies of MDA-MB435 mammary carcinoma cells (ATTC; HTB-129), C2C12 mouse skeletal myoblasts (AITC; CRL-1772, T98G glioblastoma cells (AITC; CRI.-1690) and NIH-3T3 fibroblasts (ATTC; CRI.-1658). In brief, 60-well microliter plates (Nunc) were coated with 2-100 μg/ml tenascin-W for 1 h at 37° C. The non-coated plastic surface was blocked with 1% heat-inactivated BSA in PHS.

Cells were trypsinised, trypsin was blocked with 100 μg/ml soybean trypsin inhibitor in PBS and, cells were resuspended in serum-free medium and counted 200-500 cells per well were plated for the indicated time points, fixed by addition of glutaraldehyde (2% final concentration) for 15 minutes and stained with 0.1% crystalviolet in 20% methanol for 30 minutes. Cells were observed under a microscope (Nikon diaphot).

Most cells adhered to tenascin-W cooled at 2-100 μg, whereas cell adhesion to tenascin-C was minimal.

We compared the morphology and actin cytoskeleton of C2C12 mouse skeletal myoblasts and T98G glioblastoma plated on tenascin-W to cells plated on fibronectin or tenascin-C. The shape of the cells on tenascin-W was very different from the cells on fibronectin, which became particularly evident after F-actin staining with phalloidin. The cells on fibronectin were well spread containing stress fibers, whereas the cells on tenascin-W had many actin-rich processes but no stress fibers and the cell bodies remained relatively round.

EXAMPLE 8 Identification of a Cellular Tenascin-W Receptor

To determine the cellular receptor(s) responsible for cell adhesion to tenascin-W we tested the effect of integrin function-blocking antibodies on adhesion of T98G glyoblasloma cells on tenascin-W. Antibodies to α1, α2, α3, α4, α5, α6 and αV were unable to inhibit adhesion of T98G cells to tenascin-W. Nevertheless. this adhesion was β1 integrin-depended since 10 μg/ml of the anti-β1 integrin blocking antibody P4C10 (Sigma) was able to completely inhibit adhesion to tenascin-W.

IDG tripeptidc motifs have been reported be the recognition sequence for alpha9 beta1 integin (Yokosakt et al., 1998). Since mouse tenascin-W contains three IDG motifs we investigated whether α9 integrin could be the receptor for tenascin-W. We plated SW480 colon carcinoma cells transfected either with an empty vector or with the vector containing the cDNA for α9 integrin (Yokosakt et al. J Biol. Chem. 1996 Sep. 27;271(39):24144-50) on tenascin-W coated wells. However, the α9-and mock-transfected SW480 cells failed to adhere top tenascin-W whereas they adhered well to fibronectin and collagen.

Integrin α8 is expressed in developing rib bone, in kidney and in smooth muscle from the gastrointestinal tract (Denda et al. Biochemistry. 1998 Apr. 21;37(16):5464-74). Since this expression pattern coincides with the presence of tenascin-W it seemed that integrin α8 was a good candidate receptor for tenascin-W as well. We tested this hypothesis by using the leukemia cell line K562, transfected with α8 integrin (Denda et al. Biochemistry. 1998 Apr. 21;37(16):5464-74). Transfected K562 cells could indeed adhere to tenascin-W and the mock-transfected control cells did not. Therefore, α8β1 integrin is a receptor for tenascin-W.

EXAMPLE 9 DNA Replication and Publication Assay

96-well plates (Falcon) are coated as described above. Cells are serum starved overnight and trypainised. 10⁴ cells are transferred onto the coated plates in the presence of 1% serum or 40 nM PDGF BB (Platelet-derived growth factor BB). 14 h later cells are labelled with radioactive ³H-thymidine (0.5 μCi/well) for 4 h at 37° C., incorporated ³H-thymidine precipitated with 10% TCA and determined with a Beckman scintillation counter after cell lysis in 0.3N NaOH, 2% SDS. Alternatively, incorporation of BrdU is measured or cells numbers are counted over a growth period of several days of cells plated on different substrates. Cancer cells grown on tenascin-W show an increased growth rate over cells plated on fibronectin, as established by counting cells or an increase in radioactive ³H-thymidine or BrdU incorporation into cellular RNA.

EXAMPLE 10 In Vitro Binding Assay (EUSA)

96-well ELISA plates are coated with the appropriate ECM proteins (e.g. fibronectin or tenascin-W) for 1 h at 37° C., blocked with 1% milkpowder, 0.05% Tween-20 in PBS ECM protein (tenascin-W or fibronectin) are added in blocking solution for 1 h, washed with blocking solution and the appropriate antibodies are added. In this way, an intersection between tenascin-W and fibronectin can be tested, for example. Bound proteins are detected by immune reaction with a peroxidase-coupled secondary antibody followed by colour reaction with 21 mg/ml citric and 1-hydrate, 34 mg/ml Na₂HPO₄2H₂O, 0.4 mg/ml phenylenediamine, 1 μl H₂O₂, which can be stopped with 4M sulphuric acid. The absorbance was read at 590 nm.

EXAMPLE 11 Immunofluorescence Microscopy

10⁴ cells are transferred onto 4-well Cellstar plastic plates (Greiner) that are coated with ECM proteins essentially as described above. Cells are fixed with 4% paraformaldehyde, 50 mM phosphate buffer, 5 mM EDTA in PBS for 15 minutes, blocked with 3% BSA, 0.5% Tween-20 in PBS and incubated with primary and secondary antibodies in blocking solution. Slides are embedded in 10.5% Mowiol containing 2.5% DABCO as antifade agent. Cells are analysed by microscopy. This method is particularly useful for the detection of tenascin-W or any other protein produced by cells in culture to which an antibody is available and can be used to analyze substances that affect the synthesis or deposition of the respective antigens.

As is apparent to one of ordinary skill in the art, variations in the above-described methods can be introduced with case to attain the same objective. Various incubating conditions, labels, apparatus and materials can be chosen according to individual preference. All publications referred to herein are incorporated by reference in their entirety as if each were referred so individually. 

1-52. (canceled)
 53. A method of diagnosing or prognosing cancer comprising: analysing a sample obtained from an individual for the presence of tenascin-W protein or tenascin-W transcript; and determining the presence of the tenascin-W protein or the tenascin-W transcript in the sample by a detection method, wherein the detection of the presence of the tenascin-W protein or the tenascin-W transcript in the sample using the detection method indicates an unfavorable prognosis or diagnosis.
 54. The method of claim 53, wherein in the step of determining, the presence of the tenascin-W protein or the tenascin-W transcript is indicated by an elevated level of the tenascin-W protein or the tenascin-W transcript in the sample, and the detection of the elevated level of the tenascin-W protein or the tenascin-W transcript in the sample relative to healthy tissue indicates the unfavorable prognosis or diagnosis.
 55. The method of claim 53, wherein the sample used in the step of analyzing is blood serum or plasma from the individual.
 56. The method of claim 55, wherein the tenascin-W protein is detected in the detection method using an antibody specific for the tenascin-W protein.
 57. The method of claim 55, wherein the tenascin-W transcript is detected in the detection method using a polymerase chain reaction.
 58. The method of claim 53, further comprising: analyzing the sample for the presence of alpha 8 integrin expression; and determining the presence of the alpha 8 integrin expression in the sample by a second detection method, wherein the detection of the presence of the alpha 8 integrin indicates an unfavourable prognosis or diagnosis.
 59. The method of claim 58, wherein the alpha 8 integrin is detected in the second detection method using an antibody specific for the alpha 8 integrin.
 60. The method of claim 53, wherein the method further comprises: propagating cells in the sample in cell culture.
 61. The method of claim 53, wherein the step of analysing includes a prior step of pre-treating the sample.
 62. The method of claim 61, wherein the step of pre-treating includes forming a cell extract.
 63. The method of claim 53, wherein the step of analysing includes detecting a control protein in the sample, and optionally normalizing a value obtained for the tenascin-W protein or the tenascin-W transcript with the control protein. 